The nurse is caring for a patient under droplet precautions. What should the nurse wear when providing care to this patient?
1. head covering and gown
2. shoe covering and gown
3. gloves only
4. mask and eye protection or face shield
Correct Answer: 4
To provide care to a patient under droplet precautions, the nurse should wear a mask and eye protection or a face shield when entering the room. Head and shoe covers and gowns would not protect the areas vulnerable to droplets. Gloves alone are not adequate protection against droplet secretions.
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Following a particularly violent incident which resulted in a client being placed in four-point restraints, the nurse recognizes feeling fearful of having to work with the client again. How should the nurse handle this emotion?
1. Recognize that feeling fear and getting into physical confrontations is "part of the job." 2. Accept the fear, process the event with other staff, and continue working with the client. 3. Ignore feelings of fear as it would impede the nurse's ability to manage the client effectively. 4. Engage in debriefing with the client to clear up hard feelings.
Most endocrine disorders are not diagnosed until patients are acutely ill with a second condition. What are some common precipitating illnesses these patients may have?
A) Severe illness/stress activating the HPA axis B) High glucose levels from gluconeogenesis C) Low cortisol levels from depleting the flight or fight response D) Decreased basal metabolic rate from prolonged hyperthermia
The nurse observes a lack of urine output in a client recovering from bladder surgery. Prior to notifying the health care provider, the nurse gently irrigates the tubing and dislodges a small blood clot
Immediately the client's urine begins to flow. This nurse's intervention demonstrates which level of clinical nursing practice? 1. Expert 2. Novice 3. Advanced beginner 4. Competent
A nurse is discussing high-nutrient-density food selections with a client recovering from exten-sive partial-thickness burns. Which of the following statements by the client reflects the best un-derstanding of this dietary concept?
1. "I'll snack on things like sugar-free pudding and Jello." 2. "Fried chicken and potato salad are my favorite comfort foods." 3. "My wife has a wonderful recipe for low-calorie vegetable dip." 4. "It's a good thing that I really enjoy salads and whole wheat breads."